Dr. Gunashekhar

Orthopedist, Bangalore

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.

More about Dr. Gunashekhar

Dr. Gunashekhar is one of the best Orthopedists in JP Nagar, Bangalore. You can meet Dr. Gunashekhar personally at Green City Hospital in JP Nagar, Bangalore. Book an appointment online with Dr. Gunashekhar on Lybrate.com.

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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to have a persistent back pain as a health issue. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping
- if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you
- physical therapy initially under supervision of a trained physiotherapist and then to continue at home
- adequate calcium & vitamin d intake if levels are low in body
- ice packs can applied if your pain is acute, then hot fomentation can be done at home
- analgesic spray for local application can be used and is easily available.
- avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol.
If you are not feeling better, then we will have to get some investigations like dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. Thanks & regards

Some signs of ligament sprain
pain over side of ankle sudden giving way when walking on uneven surface
pain on stretching or weight bearing
try gentle flexibility and strengthening as tolerated
ultrasound treatment and ice can help too. Gud luck.

For calcium deficiencies you need to give her calcium supplements. Also check her vitamin d level.
For knee arthritis pain a heating pad or cold pack can feel really good on achy joints. Use whichever one feels better unless you have an injury, in which case cold is best for the first couple of days.
You can apply cold or heat several times a day. Just remember to cover the cold pack with a towel and keep your heating pad at a low setting to avoid burning your skin. Whether you use heat or cold, remove it after 20 to 30 minutes.
Physical activity is essential for people with osteoarthritis, whether it means walking around your apartment. Activities that cause pain should be avoided temporarily.
-if the knee is swollen or sore, the following positions and activities you should avoid until knee pain and swelling resolve:
squatting
kneeling
twisting and pivoting
see a physiotherapist for stretching and strengthening exercises of leg muscles.
Best wishes.

Hello,if the x-ray is clear, that means you dont have any bony injury...but there may be some soft tissue injury in the knee joint which can only be seen in MRI or get a proper examination of your knee from an orthopedic to know what is the exact problem.In the meanwhile just avoid exerting your knee a lot,wear a knee support and avoid doing any exercises like squatting,lifting etc.ALSO take precautions like cross legged sitting ,climbing stairs up and down,using of indian toilet.Do icing 3-4 times a day and keep your leg elevated.

Mild to serious pain or uneasiness in the lower back region is known as lumbago or back pain. The pain might be acute (sudden and extreme) or chronic, if it has lasted over three months. People who do a lot of physical exertion are often affected by it. Also back pain occurs as you age

There are a variety of reasons for back pain. Some of them are listed below

Strain: Majority of the cases related to back pain occur due to strain in many parts of the body. These include:

Strained ligaments

Strained muscles

Improper lifting

Lifting something too heavy in an incorrect posture

A muscle spasm

Abrupt or awkward movement

Structural problems: Problems such as bulging discs (a disorder of the rubbery disk within the bones of the spine), arthritis, abnormal curvature of spine (a condition in which the spine curves downward), osteoporosis (bones becoming brittle and weak) and ruptured discs (almost similar to bulging discs).

Cauda equina syndrome (a condition in which the spine nerve roots get compressed)

Sciatica, characterized by pain in the hips, legs and thighs. This occurs due to a compression in a slip or intervertebral disc in the back, which leads to a pinched nerve.

Numbness in legs

How to treat it
Treatment for back pain is dependent on the type and severity of pain as well as the patient’s medical history. A large majority of cases of back pain take a recovery time of around six weeks without surgery. Exercises for relieving back pain are common elements of a treatment plan. Typical treatment of back pain involves use of muscle relaxants, pain killers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:

Rest: A period of rest and cease of activity would cause the injured tissues to recuperate and relieve back pain. However, extended periods of rest might lead to weakening of muscles and hence, prolong the back pain.

Heat and ice packs: Both heat and ice therapy is used to reduce inflammation and it is utilized according to the patient’s preference.

Medications: A large variety of prescription and over-the-counter medicines are available, such as Acetaminophen and Diclofenac. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. It is to be noted that every medication has its own risks and side effects.

Role of Physiotherapy in Treating Back Pain:
In physiotherapy, the general goal of this treatment is to reduce pain in parts of the body; be it in the arms, legs or back. In the age we live in, where most of us are sitting in one place, hunched on our laptops, we are bound to get a back pain. Some pains are temporary and can go away with some sound sleep. The more severe back pains are usually chronic and can hamper your productivity.

The various approaches that are used to cure back pains with physiotherapy are:

Ionotophoresis

Ice/heat packs

Ultrasound therapies

TENS units

These are called passive approaches as these are being done to the patients.

The other approaches that are mostly exercise based are mostly done to rehabilitate the spinal cord. This approach is usually a cocktail of the following:

Strengthening Exercises For Back Pain: Certain prescribed exercises such as lumbar stabilization or other exercises should be done for about fifteen to twenty minutes on a regular basis to strengthen your back muscles. These strengthen your core muscles and help in lower back pain as well. These can help in relieving pain if done right. This is why you should get directions from professionals or qualified physical therapists.

Stretching Exercises For Back Pain: It is advised to stretch your hamstring muscles every now and then if you suffer from back pain. It is a very simple form of stretching but you may forget to do it every day. This is why you should schedule your exercises and adhere to the schedule. Incorporate it into your daily routine. There may be other stretches that you can look into or consult your physical therapist to advice you on.

Heat and Cold Therapies: It is one of the most common types of therapy that is used and is mostly used towards the initial period of pain. While some may find heat therapy more useful, others may resort to cold therapies. Sometimes, people use alternate therapy. This therapy is recommended to be performed once in every two hours. If you wish to discuss any specific problem, you can consult a physiotherapist.